Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.24 / $31.94 / $50.83	Facility	26	$23.24	$31.94	$50.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.32 / $157.16 / $535.00	Professional		$127.32	$157.16	$535.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $112.08 / $112.08	Professional		$112.08	$112.08	$112.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $113.99 / $242.92	Professional		$32.03	$113.99	$242.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $210.15 / $228.76 / $332.57	Professional		$210.15	$228.76	$332.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $192.66 / $310.97	Professional		$141.07	$192.66	$310.97
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $171.71 / $171.71	Facility	26	$100.00	$171.71	$171.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.32 / $1,016.32 / $1,270.58	Professional		$1,016.32	$1,016.32	$1,270.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $205.59 / $587.40	Professional		$140.10	$205.59	$587.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $142.40 / $264.01	Professional		$37.67	$142.40	$264.01
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $199.79 / $342.44	Professional		$145.52	$199.79	$342.44
United Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $163.12 / $269.70	Professional		$122.34	$163.12	$269.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.33 / $140.10 / $199.54	Professional		$125.33	$140.10	$199.54